Individual
MRS. BRIDGET L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT OCS
Contact information
Practice address
404 W BLACKHAWK DRIVE, SUITE 1U, BYRON, IL 61010
(815) 234-5561
(815) 234-5870
Mailing address
1640 MELUGINS GROVE ROAD, STEWARD, IL 60553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011438
IL
Other
Enumeration date
10/03/2006
Last updated
04/29/2008
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